Putting Values into Practice: Public Policy and the Future of Mental Health Consumer-run Organizations

The purpose of the paper is to reflect on value dilemmas in mental health consumer-run organizations and to discuss implications for research, policy, and practice. We review the roots of consumer-run organizations in the self-help movement and the psychiatric survivor liberation movement, focusing on the distinctive values espoused by consumer-run organizations. We also discuss evidence-based and value-based approaches to mental health policy formulation and mental health reform, noting the particular importance of value-based approaches and the role that consumer-run organizations can play in mental health reform. Based on our experiences conducting a participatory action research study of four mental health consumer-run organizations, we identify and examine several value dilemmas, discuss the lessons that we learned about these value dilemmas, and note their implications for future directions in research, policy, and practice.     

基于人际情感性动机的病理性网络用户的冲动控制特性

基于＂大学生互联网使用动机量表＂和＂大学生病理性互联网使用行为量表＂的测量结果,采用匹配法筛选出21名基于人际情感性动机的病理性网络用户和22名非人际情感性动机的健康性网络用户,对其实施延迟折扣任务（DDT）、stop-signal任务和Stroop色词命名任务,探讨了基于人际情感性动机的病理性网络用户的冲动控制特性。结果发现,相对于健康性网络用户,病理性网络用户对延迟强化物的折扣速度更快,但后者的反应抑制失败率、反应抑制潜伏期（SSRT）和冲突抑制功能均与前者无显著差异。这些结果表明,病理性网络用户的冲动控制障碍主要表现为以对即时强化的超敏感性和强化物长远价值的非敏感性为特征的＂短视＂倾向,而非行为抑制功能的缺失。     

病理性互联网使用的认知--行为模式述评

病理性互联网使用即互联网成瘾,是指由于过度使用或者滥用互联网而导致的一种新的心理疾病。本文介绍了病理性互联网使用的一种新理论模式———认知—行为模式,并对该模式进行了客观的评价。     

Participatory Organizational Change in Community-Based Health and Human Services: From Tokenism to Political Engagement

Community psychologists have long worked with community-based human service organizations to build participatory processes. These efforts largely aim at building participatory practices within the current individual-wellness paradigm of human services. To address collective wellness, human service organizations need to challenge their current paradigm, attend to the social justice needs of community, and engage community participation in a new way, and in doing so become more openly political. We use qualitative interviews, focus groups, organizational documents, and participant observation to present a comparative case study of two organizations involved in such a process through an action research project aimed at transforming the organizations’ managerial and practice paradigm from one based on first-order, ameliorative change to one that promotes second-order, transformative change via strength-based approaches, primary prevention, empowerment and participation, and focuses on changing community conditions. Four participatory tensions or dialectics are discussed: passive versus active participation, partners versus clients, surplus powerlessness versus collective efficacy, and reflection/learning versus action/doing.     

病理性使用互联网的界定与测量

病理性使用互联网（Pathological Internet Use,PIU）是人在互联网使用过程中出现的一种新型心理疾病。很多研究者认为互联网使用过度或不当是病理性使用互联网的主要原因。该文对病理性使用互联网已有研究的概念的界定与测量问题进行了分析与整合,讨论了在中国社会文化背景下如何界定与测量病理性使用互联网。     

Better communication between engineers and managers

This article is concerned with ways better communication between engineers and their managers might help prevent engineers being faced with some of the ethical problems that make up the typical course in engineering ethics. Beginning with observations concerning the Challenger disaster, the article moves on to report results of empirical research on the way technical communication breaks down, or doesn’t break down, between engineers and managers. The article concludes with nine recommendations for organizational change to help prevent communications breakdown. The author holds a National Science Foundation grant to integrate ethics into technical courses. Among his recent publications are: To Make the Punishment Fit the Crime (Westview, 1992), AIDS: Crisis in Professional Ethics (Temple, 1994), and Justice in the Shadow of Death (Rowman and Littlefield, 1996).     

A View of the violence contained in chronic fatigue syndrome

In this paper I ask whether there might be any one particular psychopathology likely to be linked specifically with the physical illness known as chronic fatigue syndrome (CFS) or myalgic encephalomyelitis (ME), and whether CFS/ME aids and abets and 'fits' an original mental state. I think the question cannot yet be answered. However it is my hypothesis that in some personality structures the onset of CFS/ME following a physical illness exacerbates negativity and is an aspect of ordinary depression where there is a lowering of energy levels and a loss of zest for life, or it may reveal the pathological aspect of unresolved rage.
Depending on the degree of pathological disturbance, working with and through the rage may or may not result in a resolution of the symptoms of ME. In this paper I consider some of the problems in the transference and countertransference relationship, which make it extremely difficult to separate out reality from phantasy. There is then the further problem of the denial of the psyche by the patient as part of the violence inherent in the illness.
One case is presented, an example of ME in a borderline male patient in whom resolution could not be achieved.     

The Influence of Posttreatment Mutual Help Group Participation on the Friendship Networks of Substance Abuse Patients

The effect of 12-step mutual help groups (e.g., Narcotics Anonymous) on members' friendship networks has received little attention. This 1-year longitudinal study examined such effects in a sample of 2,337 male substance abuse inpatients, 57.7% of whom became significantly involved in 12-step activities (e.g., reading program literature, attending meetings) after treatment. An a priori model of the interplay of 12-step involvement and friendship networks was tested using structural equation modeling, and found to have excellent fit to the data. Twelve-step group involvement after treatment predicted better general friendship characteristics (e.g., number of close friends) and substance abuse-specific friendship characteristics (e.g., proportion of friends who abstain from drugs and alcohol) at follow-up. Results are discussed in terms of how mutual help group involvement benefits patients and how the self-help group evaluation paradigm should be broadened.     

Optimizing Exposure Therapy for Pathological Health Anxiety: Considerations From the Inhibitory Learning Approach

Exposure therapy has demonstrated its efficacy in the treatment of pathological health anxiety—however, psychotherapy research reveals that many patients do not show a clinically significant change. Therefore, improvements are necessary to optimize psychotherapy for pathological health anxiety. Most treatment rationales refer to habituation during exposure as the central mechanism of change. However, there is evidence that extinction learning is mediated by inhibitory learning processes. Targeting these processes may help to improve treatment outcomes in pathological health anxiety. The aim of this review was to adapt, from the inhibitory learning approach and empirical findings, the most promising strategies for the exposure-based treatment of pathological health anxiety. The exposure-optimizing strategies adapted are expectancy violation, combination, variability in contexts and stimuli, affect labeling, and removal of safety signals. A case example illustrates how to implement these methods for patients with pathological health anxiety.     

扬州伊斯兰教团体现状的调查与思考

本文较详细地分析了扬州市伊斯兰教的现状,并对当前伊斯兰教面临的难点和加强伊斯兰教团体建设等问题进行了深入的分析。